Individual
ANNA M GIANTURCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 COMMONWEALTH AVE, WILLIAMSBURG, VA 23185-5229
(757) 345-3000
Mailing address
3998 FAIR RIDGE DR, STE 300, FAIRFAX, VA 22033-2907
(516) 945-3107
(516) 945-3107
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101252416
VA
207L00000X
Anesthesiology Physician
21065
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001706469
MSBCBS GROUP
WV
01
—
001720743
BCBS - MAAC
WV
01
—
001907643
MSBCBS GROUP
WV
05
—
0207026000
—
WV
01
—
1070944
BRICKSTREET
WV
05
—
1902833577
—
VA
05
—
2004028000
—
WV
01
—
205542387
WORKERS COMP
WV
01
—
20554238700
WORKERS COMP
WV
01
—
205542387000
BRICKSTREET GROUP
WV
01
—
27005299700
BRICKSTREET GROUP
WV
01
—
270052997004
TRICARE
WV
01
—
2782663
OHIO MEDICAID
WV
05
—
3810006746
—
WV
01
—
7925403
AETNA
WV
01
—
DA0096
RR MEDICARE
WV
01
—
P00370037
RR MEDICARE
WV
Enumeration date
06/27/2006
Last updated
04/10/2015
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